Organization Active NPI

Kiggundu Radiation Therapy, PA

Doing business as Kiggundu Radiation Therapy, Inc.

  • Radiation Oncology Physician
  • Martinsburg, WV
National Provider Identifier
1154301539
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
KIGGUNDU RADIATION THERAPY, PA
Doing business as
Kiggundu Radiation Therapy, Inc.
Practice address
2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9003
Phone
(304) 262-8800
Fax
(304) 262-8203
NPI assigned
Jan 20, 2006
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward W. Kiggundu, MDNPI 1316933492
Title
President
Phone
(304) 262-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9003

Mailing address

1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342

Other practice location 1

187 Skylar Dr
Lewisburg, WV 24901-9359
Phone (304) 647-3500

Other identifiers 1

IdentifierTypeStateIssuer
3810003414MedicaidWV

Other names 1

  • Kiggundu Radiation Therapy, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

187 Skylar Dr
Lewisburg, WV 24901
Phone (304) 425-1960

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1154301539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SE 8TH TER STE 200",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903213",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNDATION WAY",
            "address_2": "SUITE 1100",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019003",
            "telephone_number": "304-262-8800",
            "fax_number": "304-262-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "187 Skylar Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249019359",
            "country_code": "US",
            "telephone_number": "304-647-3500",
            "fax_number": "304-647-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIGGUNDU RADIATION THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "KIGGUNDU",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-262-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003414",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiggundu Radiation Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.